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Finish Basement 2005
TOWN OF MONTVILLE Building Department 310 NORWICH-NEW LONDON TURNPIKE UNCASVILLE, CT 06382-2599 TEL. (860) 848-3030 X382 FAX. (860) 848-7231 BUILDING PERMIT Permit Number: B2005-0532 Date: 12-Sep-05 Map/Lot: 028/005-076 Owner ID: 5367000 Project Location: 22 PARTRIDGE HOLLOW Unit: Job Description: finish basement Owner Name: Angel N and Helen L Cruz Tenant Name: N/A Careof: 22 Partridge Hollow Oakdale CT 06370- Telephone: Contractor Name: Ploof Contracting Telephone: (860)887-5011 DBA: Lic/Reg Type: HIC Lic/Reg No: 580529 5 Hinckley Hill Rd. Exp Date: 30-Nov-05 Preston Ct 06365- Construction Value Permit Fees Construction Information Building Value: $18,354.00 Building Fee: $152.00 Use Group: R-4 Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1999 State Building Code Mechanical Value: $5,463.00 Mechanical Fee: $48.00 w/2004 Amendment Electrical Value: $4,510.00 Electrical Fee: $40.00 Construction Type: 5B Total Value: $28,326.00 Penalty Fee: $0.00 Permit Code: R4 C of 0 Fee: $10.00 Comments: Plan Review Fee: $24.00 Inc.on Building Permit State Ed Fee: $4.53 Total Fee: $278.53 It shall be the owners repsonsibility to schedule the following inspections a minimum of 2 business days in advance: Field set of approved construction documents shall be available onsite during all inspections. BUILDING PERMIT INSPECTIONS PLUMBING, MECHANICAL,ELECTRICAL PERMIT INSPECTIONS ❑ Footing- Prior to pouring concrete ❑ R Plumbing and leak test ❑ Deck Piers R Electrical ❑ Backfill -Footing drains and waterproofing ❑ Elec Trench-with conduit installed ❑ C• oncrete Slab-Prior to pouring concrete ❑ Pool Bonding ❑ Anchor Bolts-with sill plate and prior to floor framing ❑ Electrical Service CRS No: _ 0 0 F• raming © R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test • Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION k Insulation ❑ Certificate of Approval -- ific. - of Occupancy Building Official's Approval: Town of Montville T Building"Department 310 Norwich-New London Tpke. Tel. 848-3030,Ext 382 Uncasville, CT 06382 Fax. 848-7231 Residential Building Permit Application Form Permit 6,2rd �,e7 6-5z ❑New Construction ❑Addition ❑Alteration ❑Accessory Structure ❑SingCe(Family ❑ Two-q'amiCy ❑ 'Townhouse Job Address 2-2- PAI2A-(2--\"Sx:€__ Oplux..) (Number) (Stre (Unit) Job Description _ a . _ �S` �� '.�I _ ,lt' 1 _.4 ei , Owne , • _tQ 02_ Mailing Address 5A-Art ff_— 4-5 *et)1/6.— City E_City State Zip Tel 7,-LN / 1/f / 'lig( Contractor t t ' `4, Alep. Mailing Address 1--(1 f c y IA_ D, City State 6re Zip lg,3 1,,4— Tel 6'40 / 867/cbi I Contractor's License/Registration Type&Number n I C,4- 56052.-7-.7 Exp.Date (( /;p /05 I hereby certify that the proposed work will conform to the Basic Building Code and all other codes as adopted by the State of Connecticut and the Town of Montville and further attest that the proposed work is authorized by the owner in fee and that I am authorized to make application for a permit for such work as described above. Separate applications are required fo • trical . ".in! echanic. etc. Owner/Agent Signature 'OPP �- Date / / Construction Value Fee Building $ $ Plumbing $ $ Mechanical $ $ Electrical $ $ Work commencing before the issuance of a permit $ Certificate of Occupancy $ Plan Review $ State Education $ Total $ $ (See averse side for additional requirements) i4viaeifebnrary 25 2005 Town of Montville Building Department File Receipt Date: 11-Aug-05 Receipt No: 514 Received From: Ploof Contracting Job Address: 22 Partridge Hollow Rd Fees Collected State Educational Training Fee Cash: $0.00 Cash: $0.00 Check: $278.53 Check: $4.53 Check No: 0 Construction Value: $18,354.00 Demolition Value: $0.00 Received By David M Jensenp.0,.:A RESIDENTIAL PERMIT CALCULATION (FINISHED BASEMENT) Address: QTY $/UNIT TOTAL Living Area 874 SF $ 21.00 $ 18,354.00 Kitchen EA $ 9,100.00 $ - Plumbing Full Bath EA $ 5,000.00 $ - Half Bath EA $ 3,200.00 $ - Fireplace & Chimney Prefab EA $ 4,000.00 $ Masonry, exterior EA $ 4,250.00 $ - Masonry, interior EA $ 4,000.00 $ W/2 fireplaces EA $ 7,500.00 $ - BUILDING CONSTRUCTION COST $ 18,354.00 PERMIT FEE CALCULATIONS Fee Building $ 18,354 $ 152.00 Plumbing y Mechanical $ 5,463 $ 48.00 y Electrical $ 4,510 $ 40.00 Work Commenced before permit issuance $ - CO Fee $ 10.00 Plan Review $ 24.00 State Ed Fee $ 28,326 4.53 Total Fees $ 278.53 Based on 2003 RS Means Residential Cost Data 8/11/2005 Town of Montville Building Department 310 Norwich-New London Tpke. Uncasville, CT 06382 Tel. 860-848-3030, Ext. 382 Fax. 860-848-7231 CONSTRUCTION PERMIT APPROVAL 1!)4141-9-06E- \-AoGtoi.J JA4914-11ALLf___ Property Address gage Job Description The applicant is responsible for obtaining all of the required approvals checked off on this form. No building permit will be issued until all of the required signatures have been obtained. Required Approval Department Permit Issuance Approval Tax Collector ' -�--% /Voc,,.� cPe'/oS J Signature/date WPCA g i I p b< Signat • /date 141 Planning&zQring � � , i 111+ a t Sig,naturel date El Health Department Signature/date 0 Department of Public Works gig-nature/state ❑ State Dept. of Transportation Signature/date 0 Fire Marshal Signature/ date Comments/Conditions: 4.cvise6Septem6er9,2004 C O a) A - k2 i° O 0 _ �an +r0 aD aaA, Ci2 .0 O O - m ‘k -, 0 O 0 - v- O A ^( �J 1,\ Ili S 9.,%1 > t += o a> a �1! J ^ d.) t e " O. �RT 4 Q 0 , t1+ NI [CC tn to P1 D . 14 — r,J j. _ --- . \I 4 Jr' a I A . li __, O 4 .1 0.4 '1\1 .i?,11,) „ _(__\ i....sQ i\ -k J ria Q \ ,- _ „..... 73- , ,.... c\s„.....„: , 3 ,� � _. Town of Montville Building Department n Plan Review Form A Date: ugvs- 4/, .-OOj' Street Address: at— Pi/.,re:-T 0241: Gg' BOLL°(,,,/ Job Description: /Q/NIS 14 �/.,..‘73-T')8-r.)'c The following information must be included on both sets of plans or accompanying documents (two sets are required)(C.G.S. 29-252a.) This list is offered as a guideline only. It is not meant to be all-inclusive for every permit application,nor is it meant to take the place of the building code. Your application is being refected for the following reason{sl that are checked-off or commented on: Two sets of construction documents required, this includes • Supporting Documentation engineering data,calculations,and other documentation Construction documents shall be of sufficient clarity to indicate the Documents required to be stamped and signed by a CT registered location,nature and extent of the work proposed(R106.1.1) Architect Construction documents are to match the orientation on the site plan Documents required to be stamped and signed by a CT registered reversed plans are not acceptable, a full plan review can not be Professional Engineer performed with the submitted documentation Plans Construction documents are incomplete or unclear,a full plan review Site Plan(s)required can not be performed with the submitted documentation Architectural plan(s)required Building permit application not completed Mechanical plan(s)required Permit fee$ Electrical plan(s)required Permit fee to be calculated Plumbing plan(s)required Worker's comp.Affidavit or worker'comp.Insurance required Fire protection plan(s)required Copy Contractor's registration or license Construction type not identified Construction permit sign-off sheet with approvals required Use group classification not identified Provide all documentation to show compliance with the 2003 Height&area calculations required International Energy Conservation Code(www.energycodes.gov) Occupant load not provided Street address of project on all drawings and documents required Rooms not identified / c'/Z, t4 L ' Field set of approved plans need to be picked up from our office Comments:2;1ni.-7/")G ptylpRc,VOL 2S2.1i1243/) 0A1 4/Cs/J-6laf= SHeWT A : Official 9 fvireilune 2,2005 v'` c7 7Bv v. c State of Connecticut '. I Workers' Compensation Commission 0 :�� /n•N��� Please TYPE or PRINT IN INK 1 SJS Proof of Workers' Compensation Coverage when Applying for a Building Permit for the Sole Proprietor or Property Owner who WILL act as General Contractor or Principal Employer Applicant for Building Permit ,/ � Name of Applicant for Building Perm'FA-a-172_ t�L�--i A-)'�t Or ,r‘ Property located at l ( X1 - (('cid_ VVV����0(.14 !V in the City/Town of L'AIT !'LUC- Attest If you are the owner of the above-named property or the sole proprietor of a business doing work on the site of the construction project at the above-named property and you WILL act as the general contractor or principal employer,you must provide proof of workers'compensation insurance coverage for all employees. Complete this form and,if applicable,sign the Affidavit below in the presence of a Notary Public or a Commissioner of the Superior Court. CHECK ONE (1) BOX ONLY, provide the appropriate information, and sign: ❑ I am the OWNER of the above-named property.I WILL act as the general contractor or principal employer and,as such,will submit proof of workers' compensation insurance coverage for all employees who are doing work on the site of the construction project at the above-named property. Signature of OWNER Applicant ❑ I am the SOLE PROPRIETOR of a business doing work at the above-named property.I WILL act as the general contractor or principal employer and,as such,will submit proof of workers'compensation insurance coverage for all employees who are doing work on the site of the construction project at the above- named property. Signature of SOLE PROPRIETOR Applicant I am the OWNER of the above-named property or the SOLE PROPRIETOR of a business doing work at the above-named property.I will not personally submit proof of workers'compensation insurance coverage,but I will attest to the following: AFFIDAVIT I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor, subcontractor,or other worker before he or she does work on the site of the construction project at the above-named property in accordance with Sec' 31-286b of the '.r rs'Compe .ation Act. Signature of OWNER or SOLE PROPRIETOR Applicant ap Name of Business—if applicable / •''.0 -A/'Mr Z '- dr N •�FederalEmployer ID#(FEIN} i/applicable VI ELI �SE PREOCT31,2T7Subscribed and sworn to before me this ( day oof .- 7 l> n wog Signature of Notary Public/Commissioner of the Superirt/t( \�-e;� C� 4-----\. ''''\''2---e---"-/I drE:ertf